Glomerulonephritis and Nephrotic Syndrome · NCLEX Exam

A patient with glomerulonephritis develops hematuria, oliguria, nausea, vomiting and malaise. Which underlying pathophysiologic mechanism best explains these symptoms?

  1. Increased glomerular capillary permeability to albumin alone
  2. Immune complex deposition causing inflammation and reduced GFR
  3. Primary tubular cell necrosis without glomerular involvement
  4. Podocyte foot-process effacement causing massive protein loss
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Correct answer: Immune complex deposition causing inflammation and reduced GFR

In glomerulonephritis, immune complex deposition causes inflammation of glomeruli, decreasing GFR, generating oliguria and uremic symptoms.

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